Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110001, China.
Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang 110001, Liaoning, China.
Biomed Pharmacother. 2024 Jun;175:116679. doi: 10.1016/j.biopha.2024.116679. Epub 2024 May 3.
The NOD-like receptor protein 3 (NLRP3) inflammasome is a protein complex that regulates innate immune responses by activating caspase-1 and the inflammatory cytokines IL-1β and IL-18. Numerous studies have highlighted its crucial role in the pathogenesis and development of inflammatory bowel disease, rheumatoid arthritis, systemic lupus erythematosus, autoimmune thyroid diseases, and other autoimmune diseases. Therefore, investigating the underlying mechanisms of NLRP3 in disease and targeted drug therapies holds clinical significance. This review summarizes the structure, assembly, and activation mechanisms of the NLRP3 inflammasome, focusing on its role and involvement in various autoimmune diseases. This review also identifies studies where the involvement of the NLRP3 inflammasome in the disease mechanism within the same disease appears contradictory, as well as differences in NLRP3-related gene polymorphisms among different ethnic groups. Additionally, the latest therapeutic advances in targeting the NLRP3 inflammasome for autoimmune diseases are outlined, and novel clinical perspectives are discussed. Conclusively, this review provides a consolidated source of information on the NLRP3 inflammasome and may guide future research efforts that have the potential to positively impact patient outcomes.
NOD 样受体蛋白 3(NLRP3)炎性小体是一种蛋白复合物,通过激活半胱天冬酶-1 和炎性细胞因子 IL-1β 和 IL-18 来调节先天免疫反应。大量研究强调了它在炎症性肠病、类风湿性关节炎、系统性红斑狼疮、自身免疫性甲状腺疾病和其他自身免疫性疾病的发病机制和发展中的关键作用。因此,研究 NLRP3 在疾病中的潜在机制和靶向药物治疗具有临床意义。
本综述总结了 NLRP3 炎性小体的结构、组装和激活机制,重点介绍了其在各种自身免疫性疾病中的作用和参与。本综述还确定了在同一疾病中 NLRP3 炎性小体在疾病机制中的参与似乎存在矛盾的研究,以及不同种族之间 NLRP3 相关基因多态性的差异。此外,还概述了针对自身免疫性疾病的 NLRP3 炎性小体的最新治疗进展,并讨论了新的临床观点。
总之,本综述提供了 NLRP3 炎性小体的综合信息来源,并可能为具有潜在积极影响患者结局的未来研究工作提供指导。